Services

At Symphony Rehabilitation, we're proud to offer a wide range of services to help you get back to being you. Select a service below to learn more about how we can help.

We Offer In-Person and Telehealth Appointments

Convenient, Reliable, Accessible

We practice a hybrid model at Symphony, which means your care can involve a blend of telehealth and in-person sessions or be fully virtual.


Telehealth treatment options give us the ability to observe you in your own environment. By not having to travel to our facility, you'll save time and money, all while receiving excellent care from anywhere in BC and the Northwest Territories.


Telehealth is appropriate for almost everyone! It's a great option for parents and guardians juggling busy schedules, professionals who can't leave the office often, and those living in communities without access to specialized services.


Our practitioners have a wealth of knowledge and skills to offer you. 

Concussion Care

At Symphony we offer the complete cycle of concussion care including education, baseline testing, monitoring, and treatment.

The days of sitting in a dark room until your symptoms are gone are in the past! Today, research supports a graduated active recovery. At Symphony we offer the complete cycle of concussion care from education through treatment. 


Our multi-disciplinary team of physiotherapists, chiropractors, occupational therapists, clinical counsellors, speech pathologists are passionate about concussion and guiding you through your recovery as quickly as possible.


We recognize that your recovery could also require services outside of our team, in which case we will connect you with our community colleague's in osteopathy, neurological optometry and more. 

  • Concussion Signs and Symptoms

    A concussion is a form of brain injury that can affect the functioning of your brain. Contrary to some thoughts, you do not actually need to hit your head or lose consciousness to be diagnosed with a concussion. People may have a concussion and not realize it. 


    At Symphony, if you are experiencing the following signs and symptoms we can help you on your rehab journey:

    • Fuzzy or blurry vision
    • Dizziness
    • Balance problems
    • Fatigue
    • Headaches
    • Altered head or facial sensations
    • Word finding & language issues
    • Difficulty thinking clearly
    • Feeling "slowed down"
    • Difficulty concentrating or remembering new information
    • Emotional challenges
    • Sleep issues

    "Some of these symptoms may appear right away, while others may not be noticed for days or months after the injury, or until the person starts resuming their everyday life and more demands are placed upon them".

    ~ Centers for Disease Control and Prevention

  • Acute Concussion Treatment

    Most concussions resolve with minimal treatment if cared for properly from the onset. Research supports working with a health practitioner trained in concussion treatment early to ensure that your brain recovers properly as opposed to simply compensating! 


    Acute Concussion Care Sessions may involve:

    • Assessment to determine areas of decompensation and understanding of current symptoms
    • Education on rest and appropriate re-integration of activity
    • Working with the team on gradual re-introduction of aerobic activity as soon as 4 days after your concussion
    • Monitoring and check-in's with our FDA approved app to ensure your recovery is on the right path
    • Getting you back to school, to sport, to work, to life
  • Prolonged Concussion Symptoms (or postconcussion syndrome)

    If you are still experiencing symptoms as described above 4 weeks after your concussion an in-depth assessment is recommended.  


    At this further stage in concussion rehab your treatment plan may involve:

    • Aerobic exercise and how to gradually re-introduce activity
    • Vestibular rehab
    • Vision rehab
    • Manual therapy
    • Increasing cognitive load
    • Integration of all systems 
  • Concussion Baseline Testing & Season Monitoring

    We believe your baseline measures should be reflective of your total function - not just one system.   


    Your complete baseline measures include:

    • A thorough concussion & medical history
    • Oculomotor function
    • Vestibular function
    • Balance
    • Cognition
    • Reaction time & processing

    Our assessment utilizes an FDA Approved App to allow you to keep your findings with you!  It also allows you to create your "neurological norm". 


  • Continued Monitoring

    We want to be able to support you beyond your time in the clinic! Did you know that 5/10 concussions get missed!! Our continued monitoring works to eliminate and minimize the chances of this happening to you!  


    Our continued monitoring provides you:

    • Direct access to the clinic
    • Follow-up after acute concussion within 24-48 hours via virtual connection
    • Support through the acute phase of a gradual return to activity
    • Expedited access to the clinic for an in-person assessment
    • Monitoring of data 

    If you're interested in our baseline testing options please call the clinic at 250-618-4548

Book Your Concussion Appointment

"As a coach brain injuries are a tricky subject that in many ways are still unknown. Natasha & her team at Symphony Rehab go above and beyond to create an action plan for not just return to play but full recovery in all aspects. Her communication with the player and coach put everyone on the same page. I recommend any athlete that has a concussion, no matter how minor, to visit Natasha & her team to feel confident in returning to action at 100%!"

Lee Stone, Head Coach and GM Campbell River Storm Hockey Team


"Symphony has been our answers from the creator. I will be forever grateful for finding Natasha. I truly believe that I would not have got my vibrant 4 year old back had Natasha not taken her on & worked hard with us to help my daughter bounce back from this second & scary concussion. Natasha knew exactly what she needed to do for my daughter and seeing the difference in her from start to finish has been truly amazing. 

I will always recommend Symphony every chance I get."

Dre. Symphony Client

Neurological Rehab

We can offer Senaptec, Neurosensory Integrator, Virtualis Virtual Reality, Interactive Metronome, Lite Gait Body -Weight Support, and more!

After hard work in in-patient rehab, you are leaving the hospital team and entering a new world. Just because you're discharged though doesn't mean your journey stops - you've got goals you're still reaching for! 


 Or perhaps, you're still trying to process the news the neurologist shared with you last week. You're trying to understand what this new diagnosis means for you and your family... and honestly, the shock hasn't quite worn off yet. 


Are your emotions on a bit of a rollercoaster as you try to understand what life will be like?


Whether you are recovering from a stroke, a spinal cord injury, or have been diagnosed with a progressive neurological disorder (ie. Parkinson's, MS) We are here to help!


  • How Can Neurological Physiotherapists Help?

    Our brains are dynamic - not static- they have the ability to reorganize, restructure and change if they are challenged sufficiently. 


    Neurological Physiotherapists have additional expertise in understanding your nervous system and the role it plays in your movement and function.  Our goal is to help you stay healthy, strong, and doing the things you love to do. 


    Our Therapists have post-graduate training in the Bobath Concept for neurological assessment & treatment as well as Clinical Neuroscience.  


    The concepts are built around current neuroscience and rehabilitative research and science ~ it is not a formula ~ but a problem-solving approach in which the therapists are trained in the analysis of the components of your nervous system movement and movement dysfunction.  


    It utilizes elements of postural control, selective movement, facilitation, coordination of movement, and sensory information and its role in your function.  Every treatment is focused on the client's individualized presentation and goals. 


  • Who Can Benefit From These Services?

    Individuals who have had a stroke, a spinal cord injury, a brain injury, Parkinson’s Disease, Multiple Sclerosis, or cerebral palsy, and any other neurological diagnosis can utilize our neuro-rehab services. 


    We utilize the principles of neuroplasticity to create a novel experience and lasting change in your nervous system & function.

  • What Technologies Do You Use In Treatment?

    There are many ways to create a unique experience in your rehab - some of which include utilizing our technology!  Symphony is the only clinic on Vancouver Island and most of BC to employ tools such as

    • Senaptec  
    • Neurosensory Integrator 
    • Virtualis Virtual Reality 
    • Interactive Metronome  
    • Lite Gait Body -Weight Support (and more) into your treatment plans
Book Your Neurological Rehab Appointment

" I have been through a lot of physical therapy that left me quite paralyzed on one side. I was referred to Symphony by a good friend - I always feel that I get the best care and advice. I would recommend their services to anyone requiring neurological specific treatment."

Dan, Symphony Stroke Recovery Client

Physiotherapy

Do you have something you love to do but know you're holding back because something in your body just doesn't feel right? Perhaps you're avoiding an activity altogether and that has thrown your routine out of whack. 


Physiotherapists combine their in-depth knowledge of the body and how it works with specialized hands-on clinical skills to assess, diagnose and treat symptoms of illness, injury, or disability (Canadian Physiotherapy Association) 


We work with you to find the root of your issue and address & correct it. At Symphony we want to give you the tools and knowledge you need to keep your body moving freely for life.

  • What to expect in your 1:1 session

    In our 1:1 appointments we can work with you on: 

    • Improving or enhancing mobility
    • Muscle activation
    • Rehab from sport injury
    • Balance
    • Improved strength
    • Pain management
    • Fall risk assessment + treatment
    • Gait retraining
    • Pre and post-surgical rehab
    • Arthritis management 
    • Movement re-education
  • Techniques we use

    Our orthopedic physiotherapists may utilize

    • Manual therapy 
    • Soft tissue techniques
    • Dry needling
    • Active exercise
    • Taping 
    • And more to best serve you in your goals
Book Your Physiotherapy Appointment

Vestibular Rehab

Improve dizziness, vertigo, light-headedness, and feeling unbalanced.

Trying to move around your home, drive, play with your kids can feel almost impossible when your world is spinning around you or you have to hold onto the closest wall or piece of furniture to feel steady on your feet. 


Are you still trying to do everything you normally do in the day and the nausea that comes with your bought of dizziness makes you have to work at half speed or simply stop altogether? We can help!


  • What is vestibular rehab?

    Vestibular Rehab is a form of treatment aimed to determine the root cause of your dizziness and restore the dysfunction and create integration between your vision - vestibular - sensory systems.  


    Basically, that means we let your brain and sensory systems get along again!

  • Who Can Benefit From These Services?

    Some of the terms/ diagnoses you may hear that would benefit from vestibular rehab include:

    • BPPV ("loose" crystals in the ear")
    • Neuritis
    • Labrynthitis
    • Unilateral vestibular loss (UVL)
    • Bilateral vestibular loss (BVL)
    • Dizziness, lightheadedness, imbalance, post-concussion
Book Your Vestibular Rehab Appointment

Functional Neurology

Senaptec, Neurosensory Integrator, Virtualis Virtual Reality, Interactive Metronome, Lite Gait Body - Weight Support, and more.

You are you - you are not your diagnosis. So often the world gets caught up in defining you by your condition and they forget to look at all the parts that make you whole.


Functional Neurology is a lens that allows us to look at the parts of the nervous system and how they integrate together to allow you to function. 


Utilizing technology to have a window into your neurological function we can help you understand the symptoms you are feeling and correct them. 


Our Functional Neurology trained therapists have all undergone training with the Carrick Institute and implement this lens into all care for every client.

 

We utilize the principles of neuroplasticity to create a novel experience and lasting change in your nervous system & function.


Functional Neurology Appointments can be booked as Physiotherapy Appointments with Natasha, Nicole, or Jessica.

Book Your Functional Neurology Appointment

Pelvic Health

Are you tired of not being able to jump on the trampoline, go for a run, or jump rope because you may pee your pants? 


Are you always sourcing out the washrooms so you don't have to worry about not making it in time? Perhaps intimacy more challenging for you because you are having pain with sex. 


You are not alone! So often people are embarrassed to share these things and so you just live with them. You don't have to!


  • How Can Symphony Help?

    Our pelvic health physiotherapists are rehabilitation experts with specialized training in the pelvic floor and its importance to movement, breath, and function. 

  • Who Can Benefit From These Services?

    Men & Women may benefit from pelvic health physiotherapy if you:

    • Experience urinary incontinence, urgency, or excessive urinary frequency
    • Are pregnant or have had a baby 
    • Experience SI Joint Pain
    • Experience pelvic pain or pressure
    • Have diastasic recti
    • Experience pain with sex
    • Are pre and post-operative abdominal and pelvic surgery
    • Experience unresolved low back or hip pain
Book Your Pelvic Health Appointment

IMS | Acupuncture

Chronic muscle tension can contribute to so many of those aches and pains you feel in your day.


It could be contributing to your headaches, that aching pain, or that tender deep muscles that you know if you poke will send you through the ceiling. 


IMS (otherwise called Intramuscular Stimulation) is a form of dry needling that when inserted will cause the muscle to twitch. This contraction will allow the muscle to relax, increase blood flow to the area, and promote healing. 


Acupuncture is a form of dry needling originating in Eastern Medicine. Needles are placed in very specific acupuncture points based on your presentation which stimulates your natural pain relievers, promotes increased blood flow and circulation to the area and decreases pain and muscle tension. 


Please note for IMS or Acupuncture please book a physiotherapy appointment.
IMS is offered by Charlotte, Jessica, Nicole, and Natasha.


Book Your IMS/Acupuncture Appointment

Laser Therapy

Laser Therapy, otherwise referred to as low-level light therapy, can be a powerful tool in your rehabilitation process.


The light stimulation (while producing NO heat) works at the cellular level of your body to:

  • Decrease pain
  • Increase circulation
  • Reduce inflammation
  • Promote healing


If you are interested in receiving laser therapy, please book an initial assessment with one of our physiotherapists.

Book Your Laser Therapy Appointment

Clinical Counselling

Wanting to be healthy in body and mind is a goal we all share! 

Feeling dizzy, lightheaded, or breathless with anxiety doesn't serve you. At Symphony we recognize that the mind, the brain and the body all need to be functioning optimally for you to operate at your best. 


Our Clinical Counsellors are particularly skilled in the area of trauma, PTSD, and Anxiety. Together using approaches that work for you, your counsellor will work with you to process the traumatic event(s) that are causing your distress so that you can get back to restful nights and calm days.


Some of the approaches that can be used include:

  • EMDR 
  • CBT (Cognitive Behavioural Therapy)
  • Acceptance - Belief Based Strategies
  • Safe & Sound Protocol


Book Your Clinical Counselling Appointment

Speech and Language

Our adult speech-language services help you regain the skill of communication, of voice, of function.


Our one-on-one sessions can help you improve:

  • Speaking
  • Understanding & comprehension of written and spoken word
  • Reading & writing
  • Swallowing
  • Voice therapy
  • Voice projection


Book Your Speech and Language Appointment

Events and Workshops

We believe in community, in giving back, and in supporting one of our missions to improve concussion education & awareness in the world. 


You will regularly find the Symphony Team providing educational workshops, speaking with sports teams, educating school employees, leading exercise demonstrations in the Nanaimo Community. 


Making the Invisible Visible is Symphony's annual gala for concussion awareness.


Contact us if you are interested in having a Symphony Team Member speak, lead a workshop, or educational in-service.


Get In Touch!